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Reconstructive Surgery

Reconstructive Surgery

Reconstructive surgery helps restore the appearance, function, and quality of life for patients affected by injuries, congenital conditions, burns, cancer treatment, or complex wounds.

Using advanced surgical techniques, damaged tissues can be repaired and reconstructed to improve movement, function, and overall appearance.

Our Reconstructive Surgery Services

Burn injuries can cause damage to the skin, scarring, and difficulty with movement. Proper treatment helps support healing, reduce complications, and restore affected areas.

Burn management includes wound care, scar treatment, and reconstructive procedures to improve both function and appearance.

Common conditions treated:

  • Thermal burns
  • Chemical burns
  • Electrical burns
  • Burn scars
  • Skin tightening or contractures affecting movement

Treatment may include wound care, scar revision, release of tight scar tissue, skin grafting, and reconstructive procedures to improve mobility and quality of life.

Cleft lip and cleft palate are conditions present from birth that affect the development of the lip, mouth, and facial structures. Without treatment, they may affect feeding, speech, facial growth, and confidence.

Treatment is planned according to the patient's age and condition to improve facial appearance, oral function, and speech development.

Common conditions treated:

  • Cleft lip
  • Cleft palate
  • Velopharyngeal insufficiency (VPI)
  • Secondary cleft deformities
  • Tongue tie (ankyloglossia)

Procedures may include cleft lip repair, cleft palate repair, revision surgery, and tongue tie release to support better function and long-term outcomes.

Facial reconstruction helps restore the appearance and function of the face following injuries, cancer treatment, birth conditions, or loss of facial tissue.

Because the face is important for expression, movement, breathing, and communication, treatment requires careful planning to achieve natural-looking results.

Common conditions treated:

  • Facial defects after tumour removal
  • Loss of facial soft tissue
  • Congenital facial conditions
  • Facial asymmetry
  • Complex facial wounds

Treatment may include soft tissue repair, skin grafting, flap reconstruction, and other techniques to restore facial structure and function.

Skin grafting is a procedure that replaces damaged or missing skin with healthy skin from another part of the body. It helps wounds heal, protects underlying tissues, and restores skin coverage.

It is commonly used for burns, injuries, chronic wounds, and areas where skin has been removed due to surgery or trauma.

Common conditions treated:

  • Burn injuries
  • Traumatic skin loss
  • Chronic wounds
  • Surgical wounds after tumour removal
  • Areas requiring skin coverage

Skin grafting may involve split-thickness or full-thickness skin grafts depending on the wound condition and treatment needs.

Facial injuries can affect the skin, soft tissues, nerves, and facial bones. Early treatment helps restore facial appearance, function, and reduce the risk of long-term problems.

Common conditions treated:

  • Facial cuts and wounds
  • Soft tissue injuries
  • Facial fractures
  • Facial nerve injuries
  • Trauma-related facial defects

Treatment may include wound repair, soft tissue reconstruction, scar revision, and procedures to restore facial symmetry and function.

Breast reconstruction helps restore breast shape, size, and symmetry after mastectomy, breast cancer treatment, trauma, or loss of breast tissue.

The procedure is personalised based on the patient's condition, body structure, and treatment history to achieve natural-looking results.

Common conditions treated:

  • Breast reconstruction after mastectomy
  • Breast soft tissue defects
  • Breast deformities after injury
  • Breast asymmetry following surgery

Reconstruction options include implant-based reconstruction, Pedicled Latissimus Dorsi (LD) flap, Pedicled TRAM flap, Free DIEP flap reconstruction, symmetry procedures, and revision reconstruction.

Some wounds require specialised treatment because they heal slowly or have a higher risk of complications. Advanced wound management helps promote healing, control infection, and restore damaged tissues.

Common conditions treated:

  • Diabetic foot ulcers (DFU)
  • Pressure sores (bedsores)
  • Non-healing wounds
  • Traumatic soft tissue defects
  • Complex infected wounds

Treatment may include advanced wound cleaning techniques such as ultrasonic debridement, hydrosurgical debridement, and surgical debridement. Reconstruction may involve skin grafting, flap reconstruction, free tissue transfer for limb salvage, and coverage of exposed tendon, bone, or surgical implants.

Lower limb reconstruction helps repair complex wounds and tissue loss affecting the legs and feet. It aims to restore function, improve mobility, and preserve the limb whenever possible.

Treatment may be required after injuries, infections, cancer surgery, or chronic wounds.

Common conditions treated:

  • Traumatic leg injuries
  • Diabetic foot defects
  • Chronic leg wounds
  • Soft tissue loss after infection
  • Defects after tumour removal
  • Exposed bone, tendon, or implants

Treatment may include flap reconstruction, cross-leg pedicle flap, reverse sural flap, pedicled fasciocutaneous flap, pedicled myocutaneous flap, skin grafting, free flap reconstruction, and soft tissue coverage for limb salvage.

An arteriovenous (AV) fistula is a surgical connection between an artery and a vein to provide reliable vascular access for patients requiring haemodialysis. Careful assessment before surgery helps determine the most suitable blood vessels and supports successful fistula maturation.

Treatment is planned according to each patient’s vascular anatomy and dialysis requirements to achieve durable, long-term vascular access.

Common conditions treated:

  • End-stage kidney disease requiring haemodialysis
  • Poor vascular access for dialysis
  • Immature AV fistula
  • Dysfunctional AV fistula
  • AV fistula requiring revision

Treatment may include surgeon-performed vascular ultrasound assessment, vein mapping, AV fistula creation, fistula maturation assessment, and revision of selected AV fistulas.

Skin cancer is one of the most common forms of cancer and is often highly treatable when detected early. Surgery aims to completely remove the cancer while preserving function and achieving the best possible cosmetic outcome.

Treatment is planned according to the type, size, depth, and location of the skin cancer, with reconstructive techniques used where required.

Common conditions treated:

  • Basal Cell Carcinoma (BCC)
  • Squamous Cell Carcinoma (SCC)
  • Malignant Melanoma
  • Other malignant or pre-malignant skin lesions
  • Soft tissue defects following skin cancer removal

Treatment may include skin biopsy, surgical excision with appropriate margins, wide local excision, skin grafting, flap reconstruction, and scar optimisation.

Scars may develop following surgery, burns, trauma, infections, or other skin conditions. While many scars heal well, some may become raised, painful, widened, or restrict movement.

Treatment is tailored according to the type, location, and severity of the scar to improve both function and appearance.

Common conditions treated:

  • Hypertrophic scars
  • Burn scars
  • Scar contractures
  • Traumatic scars
  • Surgical scars

Treatment may include surgical scar revision, scar contracture release, Z-plasty, local tissue rearrangement, skin grafting, flap reconstruction, and other reconstructive procedures where appropriate.

Our Specialist

Dr Agnes Yeo Siek Ying

Designation
Consultant Plastic Surgeon
Specialty
Plastic Surgery